STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI# 1912944794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912944794 |
| Entity Type | Organization |
| Organization Name | STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Practice Address |
Suny @ Stony Brook Bhs, L9, Rm 140 Stony Brook NY 11790 |
| Mailing Address |
Po Box 1554 Stony Brook NY 11790-0988 |
| Practice Telephone | 6314443000 |
| Mailing Telephone | 6314443000 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | KENNETH SHROYER (CHAIR PERSON) |
| Authorized Official Telephone | 6314443000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00821403 | 05 |
| Street Address |
SUNY @ STONY BROOK BHS, L9, RM 140 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982659470 | Stony Brook Family and Preventive Medicine, University Faculty Practic | Family Medicine | Suny @ Stony Brook, Hsc, L4, Rm 050, Stony Brook, NY 11794-0001 | 2006-05-23 |
| 1295778371 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-14 |
| 1578502100 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-06 |
| 1265471809 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-06 |
| 1497794077 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-06 |
| 1659310241 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-06 |
| 1215976337 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-05 |
| 1104865229 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-05 |
| 1356380471 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-05 |
| 1821035601 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
| 1174677363 | James Steven Magidson | Pathology | 28 Woodfield Road, Stony Brook, NY 11790-1112 | 2007-01-23 |
| 1902825557 | Kenneth Reed Shroyer | Pathology | Bst9, Room 140, Department of Pathology, Stony Brook University Medical Center, Stony Brook, NY 11794-8691 | 2006-07-18 |
| 1235177239 | Cynthia Kaplan | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-02 |
| 1063412153 | Yupo Ma | Pathology | Stony Brook Medical Ctr, Department of Pathology, Stony Brook, NY 11794-8691 | 2005-07-29 |
| 1952720583 | Daniel Coldren | Pathology | Stony Brook University Hospital, Medical/house Staff Services, Stony Brook, NY 11794-7097 | 2014-04-10 |
| 1467749598 | Kerry Nagee | Pathology | 101 Nicolls Rd, Stony Brook, NY 11794-6511 | 2011-07-10 |
| 1962713933 | Tianhao Zhao | Pathology | 101 Nicolls Rd, Stony Brook, NY 11794 | 2010-06-24 |
| 1407099583 | Rebecca Cydney Batiste | Pathology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2009-04-20 |
| 1831331594 | Daniel Christopher Mockler | Pathology | Stony Brook University Hospital, Department of Laboratories/anatomic Pathology Office, Stony Brook, NY 11794-7025 | 2009-03-27 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.